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HomeMy WebLinkAboutZ-29891FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29891 Date: 12/05/03 THIS CERTIFIES that the building DWELLING Location of Property 1165 EAST GILLETTE DR EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 038 Block 0004 Lot 019 Subdivision Filed Map No. Lot No_ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29891 dated DECEMBER 5, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE * The certificate is issued to VERNON E & & SALLY T. JACOBS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A 1140, W Au orized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1165 EAST GILLETTE DR EAST MARION SUBDMSION: MAP NO.: LOT (S) HAM OF OWNER (S): VERNON E & & SALLY T. JACOBS OCCUPANCY: SINGLE FAMILY DWELLING VERNON E & & SALLY T. JACOBS ADMITTED BY: VERNON E. JACOBS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAR MAP NO.: 38.-4-19 SOURCE OF REQUEST: WM. PRICE, 10/20/03 DATE: 12/05/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME ■ STORIES: 1.0 * EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS. ISP FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): FORCE TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: 2 CAR DpBSTIC HOTKKTER: XX TYPE BEATER: OIL AIRCONDITIONIMG: TYPE BEAT: OIL HARM AIR: HOTWATSR: XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF C=ST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUSSP, TYPE CONST,: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE naaarc: BP$8182Z&9046Z-SWIMMING POOL&UTILITY ROOM-COZ7687-CORRECTED COZ-29890 INSPECTED BY: / �/J7(`(/t/� DATE 09 INSPRMON: 00/00/00 MICHAEL J. VERITY TIME START: 10:00 AM END: 10:30 AM hUtlll 1101 V TOWN of soUTHoLD l BUILDING DEPARTMENT TOWN HALL 765-1002 OCT 2 0 2003 APPLICATION fOR.CERTLFICATE OF OcCUPAN Y I 1 A. This application must be filled in by typewriter OR ink sud bml`tted-to ttte bulid P inspector with the following) for new building or stew Uset l+ Final survey of property With decUrdto location of all buildings; property titles, straetat and Unusual tiatUrdl be topographic fedturedt ' 2a Final Approval from health Uept+•ofWater supply and sawerage-disposdl(S-9 form), J+ Approval of electrical installdtiod from goard of Fire UnderWriterdt 4+ Sworn stateluettt from plumber certifying that the solder used in system codtalas ). less than 2/10 of 12 lend. S+ Commercial buildings indus.ttidi buildings multiple restdettced and similar WWII and installationsi a certificate of Coda Compliatled from'drebitbct or engineer responsible for the building, 6+ Submit planning Board Approval of completed site pled requirements. II U+ For existing buildings (prior to April 9; 1957) non -conforming Uses; or buiidfngd w Upte-existing" land Usest L4 Accurate survey of property sltowing ail property )mess streets; building and ., Unusual natural or topographic f'eaturdsa 21 A properly completed. application and d consent to inspect signed by the appltcan If a Certificate of Occupancy i9 dettieds the Building inspector shall state the reasons therefor id Writing to the applicant+ es Fees 14Certificate of Occupddcy - NOW dwelling $25+Ods Additions to dwelllnq 25,00i Altetations to dwelling $25:00; SWitmning pool $'2is00s Accessory building + O; Additfottd to accessory building $25100+ Businesses 50:00, 2. Certificate of Occupancy.on Pre-existing BulWng .100:00 3, Copy of Certificate of Occupancy - $5.00 aver 5 years - O:OO 41 Updated Cettificatd of occupancy — $50,00 51 'temporary Certificate of OccUpditcy - Residential /15:00; Cc" arcinl. 315:00 Dote New Consttuctiona+++iata+++ Old or Pro-exidting Locption of Propertyaaat1116i5aa,a,+aaa++alFi�� til�a�}�a�ata9tt%xl��'Ra:+a,aFid$taMdxioai+::aj: House Nei Street Hamlet Onwet or Owners of Property+aaai7iPirt 4 ++FiaaifF+c111 tfF�l1//S�1rltYiaTa++dcaQ41D5a,.:a+a+:aa++aa County Tax trap No Sections+iisi+00++I++B1ockla, 0400+ 019,000+ at $ubdlViaian:.,fla:+++l+:/+li++ll alaa+l+,+.at4#IFIIad ttapl,:,+aI,,44,Lot..,:++:11++1+:u 1 Pa rMit Ito it a+Ja a a a++'c s+i':bat d Dt ettrmit,+ aatt It& a it a,+,App i team s+,t+ It a s 1111 it a a a 1.: j hedith Dept, Approval+t+,+tea+a,+t+++t aaltata++Underwriters Approval,:aas++.++++.+t+•i++ Pldnding board ApproVdi,as++tts+aaa++a+a;a++:a+ Request fort +Temporary Cettificate+iataa+al++ Final Cetticate++aa}i,t/+++ Fee SUbmittedt; APPLLCA1Jt Ca ao7f &q I William H. Price,' JR. LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 December 6, 2003 Southold Town Building Department Main Road Southold, NY To Whom It May Concern: Re: Residence of Vernon Jacobs 1165 East Gillette Drive East Marion, NY SCTM # 1000 38 4 19 I have inspected the cellar of the above mentioned residence and foundthe cellar to be non habitable space. Sincerely, --- � �� Lawrence M. Tuthill., P.E. MANOR RD, N 8T23'304E LOT 74 STOCKADE PEN a u� LOT 76 n 11n1f 1VI0[ ��J ro aanw ; � a0 r a�• Q Ol F o! n o 0,2' o 0.2' CONCRETE 0 ISX36 IN-OROUND POoI. g g ro a R M 4I' • ar SURVEYED: 16 OCTOBER 2003 SCALE 1'- 20' AREA - 10.000 S.F. LOT 7f 0.220 ACRES IN MAP OF MARION MANOR EAST MARION,: TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. A2038 SURVEYED FOR: CARYN KLEIN SURVEYED BY N FILED MARCH 18, 1053 STANLEY J. ISAKSEN, JR. P.O. BOX 294 Mr 1000-038-oa-010 *U. N.'f.:- } 36 ;UARANI'EEO TO: C1RYN KLEIN STERLING NATIONµ MORTGAGE CO., INC. — COMMONWEAIpj UND MOTE INS, CO. OR ,9273 03R1270 0 f.6 1 ORNEWAv m GARAGE.0•+ r-30.2' 1 STORYf1 cowRESIDENCE 7.0' STOCKADE PEN a u� LOT 76 n 11n1f 1VI0[ ��J ro aanw ; � a0 r a�• Q Ol F o! n o 0,2' o 0.2' CONCRETE 0 ISX36 IN-OROUND POoI. g g ro a R M 4I' • ar SURVEYED: 16 OCTOBER 2003 SCALE 1'- 20' AREA - 10.000 S.F. LOT 7f 0.220 ACRES IN MAP OF MARION MANOR EAST MARION,: TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. A2038 SURVEYED FOR: CARYN KLEIN SURVEYED BY N FILED MARCH 18, 1053 STANLEY J. ISAKSEN, JR. P.O. BOX 294 Mr 1000-038-oa-010 *U. N.'f.:- } 36 ;UARANI'EEO TO: C1RYN KLEIN STERLING NATIONµ MORTGAGE CO., INC. — COMMONWEAIpj UND MOTE INS, CO. OR ,9273 03R1270 0 CONSLNT '1'O INSPRC111I6N William H. Price, Jr., as agent for Varnnn F_ 7arnbs and Sally,T. Jacobs , the unde'rsig'ned, Owncr(s) Nafne(s) do(es) liel•eby state: That the undersigned (ts) (aru) the owner(s) of the premises in the 'Town of Southold located at 1165 East Gillette Drive, East Marion, NY which is shown and designated on the Suffolk County tax map as District 1000, Section 038.Og Block 04.00 Lot 019.000 That the undersigned (leas) (have) filed, or caused to be filed, an applica- tion in the Southold 'Town Building Inspector's Office for tyle following: Pre -Certificate of Occupancy, Certificate of Occupancy for Addition (Building Permit #90462 issued 2/18/77) That the undersigned do(es) hereby give consent to the Building Inspectors of the 'Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may demi necessary with respect to the aforesaid application} includirrg inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Towll of Southold. The undersigned, ill consenlfnrl to SU --)l inspections, do(es) so with the knowledge and understanding that any btforntation obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for. vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated; 10/17/03 Alifgnature) William H. Price, Jr. (print name) 8 is ll at ure TOWN OF SOUTHOLD PROPERTY RECORD CARD M -yo OWNER STREET VILLAGE DIST. SUB. ✓' LOT" FORMER OWNER N E ACR. ,a d S W TYPE OF BUILDING TS. 21u SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE t REMARKS�/ ?lfl7,f d z 41110, v i o a 3 % %Q YdZ.. 2.� aa%arr rb.f. ��C. ,ZTlJ { dk iuc. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Fillable 1 Fillable 2 "illable 3 Voodland swampland FRONTAGE ON WATER Srushland FRONTAGE ON ROAD louse Plot DEPTH i. r+ BULKHEAD otal DOCK 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAiiSS: /A/ DATE 1 � ,1 c LOCATION: �7 s �� f (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: .Sii (type) "w -"r / (municipality) MAP NO.: LOT(S): 026�4 S-zle"111 (owner -tenant) ADMITTED BY:/� r` ACCOMPANIED BY: KEY AVAILABLE: SUFF. O. TAX MAP NO. 1000- 3 SOURCE OF REQUEST: �0DATE: /d///7%d.� DWELLING: TYPE OF CONSTRUCT ON: Gt�i'��� wee # STORIES: elY # EXITS: �— FOUNDATION: , CELLAR: rZ27 CRAWL SPACE: TOTAL ROOMS: 1ST FLR:_ 2ND FLR: 3RD FLR: BATHROOM(S): ® tY P TOILET ROOM(S): 0IV-e. UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: Ne_ GARAGE:,, -7 DOMESTIC HOTWATER: _ TYPE HEATER: AIRCONDITIONING:� TYPE HEAT: Irl WARM AIR: HOTWATER: )W� OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF C NST.: SWIMMING POO157_L24," OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: %'fie DATE ON INSPECTION: TIME START: END: